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HomeMy WebLinkAbout68389_Boatlift_20171012EY4PA MA 0 DREDGE & FILL 68389 " GENERAL PERMIT Previous permit # A BC D Phew ElModification []Complete Reissue OPartialReissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC E Rules attached. Applicant Kame -r r= /A,1 Project, Location: County Address StreetAddress/ State Road/ Lot #(s) City State 24ZIP Phone #(,, E-Mail Authorized Agent Affected El CW OXW 9,PTA 0 ES El PTS I I AEC(s): 0 OEA E3HHF 01H El UBA El N/A El PWS:- ORW: yes I no­'J Pl yes Subdivision t city ZIP Phone # River Basin- Adj. Wtr. Body Pat Jman /unkn Closest Maj. Wtr. Body MEN! III MENEM ME MEMENE Mamma ME a NOMINEE a No am . . . . . . . ME MEN 0. MENEM MONMEMEEMEM moommmotimmomomm am= am■ IMONEMEMOMMENDINEM MINE== ME ME MEMEMEMMENUMEN MEMO MmsMM a MEN �MENEEENEEMNEE=M IMMENEEMME No a= EMEN HIMMEMMEEM ME MEN M. IMMEMMENMEM am MOME MMMEMEEMM 0 MEN mmmmmmmmmmmm=mmmmm HEMMI ME ME EM MEMEMEMEM=EmummLlo "=a No 0 EMEN III EMEMMEMMEEMENMEM MONEMENE MEN MENNEEM 00 EMMMMEMMMMMEMMMMMEEFMI EMENEEMENNN=mm MEM11 I MOMMEMEM NEEMEM ME MEMEMEM M MENEM MWEEMEMEMEMEEMEM aa IMEMEME am= MEMEMEMEME EE� ■ �ii■i■�EEEiE■i�iEoE MEN Ag ant or Applicant Printed Name Signature Please mad compliance statement on back of permit Application Fee(s) Check# Peemit0flicer's Printed -Name $ig'nature Issuing Date Fxpiratlon Date